Individual
NEIL S MATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.D.O
Contact information
Practice address
300 BEACH DR NE STE 115, ST PETERSBURG, FL 33701-3403
(727) 800-5535
(727) 350-3928
Mailing address
300 BEACH DR NE STE 115, ST PETERSBURG, FL 33701-3403
(727) 800-5535
(727) 350-3928
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO3942
FL
Other
Enumeration date
06/03/2016
Last updated
08/31/2022
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